| Soma Medical Center Pa 6 | |
|
3580 Lake Worth Rd Palm Springs FL 33461-4029 | |
| (561) 275-1155 | |
| (561) 275-1156 |
| Full Name | Soma Medical Center Pa 6 |
|---|---|
| Speciality | Clinic/Center |
| Location | 3580 Lake Worth Rd, Palm Springs, Florida |
| Authorized Official Name and Position | Rafael O Nunez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5612751155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soma Medical Center Pa 6 3580 Lake Worth Rd Palm Springs FL 33461-4029 Ph: (561) 275-1155 | Soma Medical Center Pa 6 3580 Lake Worth Rd Palm Springs FL 33461-4029 Ph: (561) 275-1155 |
| NPI Number | 1295145704 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 6406239540 |
|---|---|
| Medicare Enrollment ID | O20220823000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295145704 | NPI | - | NPPES |
| 255695200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0076971 (Florida) | Primary |
| Provider Name | Rafael Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679526826 PECOS PAC ID: 4880785971 Enrollment ID: I20140820002713 |
| Provider Name | Carlos A Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871110171 PECOS PAC ID: 0840605077 Enrollment ID: I20210219001316 |
| Provider Name | Ramon Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316533433 PECOS PAC ID: 2163532383 Enrollment ID: I20220106000489 |
| Provider Name | Ernesto Chirolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235690843 PECOS PAC ID: 2567883242 Enrollment ID: I20220106002829 |
| Provider Name | Alexi Cuellar Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518442375 PECOS PAC ID: 7810389491 Enrollment ID: I20220111000614 |
| Provider Name | Jose Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657588 PECOS PAC ID: 3678618055 Enrollment ID: I20220112001878 |
| Provider Name | Isabel Beatriz Gonzalez Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416423 PECOS PAC ID: 1153713441 Enrollment ID: I20220118002552 |
Cano Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 S Congress Ave, Palm Springs, FL 33461 Phone: 855-226-6633 | |
Community Chiropractic Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4348 Forest Hill Blvd, Palm Springs, FL 33406 Phone: 561-929-6903 Fax: 561-584-6222 | |
Prime Care Of Palm Beach P.l. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3199 Lake Worth Rd, Suite B4, Palm Springs, FL 33461 Phone: 561-296-2273 Fax: 561-296-0495 | |
Annapoorna Arunachalam Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3150 South Congress Ave, Palm Springs, FL 33414 Phone: 866-427-0850 Fax: 561-282-3238 | |
Soma Management Services Organization Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3129 S Congress Ave, Palm Springs, FL 33461 Phone: 561-559-2410 Fax: 561-209-0380 | |
Juana Bordeleau Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3472 Forest Hill Blvd Ste 2c, Palm Springs, FL 33406 Phone: 561-229-6189 | |
Humanity Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1630 S Congress Ave Ste 100, Palm Springs, FL 33461 Phone: 561-472-2888 Fax: 561-472-2889 |